Ob-gyn Coding Challenge: Deliver Postpartum V Codes With Care

Posted on 10. Mar, 2010 by suzanne.leder in Coding Challenge.

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Bonus: Get exposure to ICD-10 coding equivalents.

Question: A mentally-challenged patient who delivered at home was admitted to the hospital for postpartum care. The patient delivered the placenta at home, and once admitted, she had no complications, but the ob-gyn

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Breathe New Life Into Your Asthma Coding Claims

Posted on 10. Mar, 2010 by suzanne.leder in Coder's Cranium.

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Focus on form and drug to pinpoint the correct asthma supply code.

Are you clear on how to report asthma procedures and inhalers? Follow this advice, and you’ll breathe easy when it comes to asthma related claims.

Propellant-Driven Inhaler Falls

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Want to Bill the Patient? Make Sure You Use Two ABN Modifiers

Posted on 10. Mar, 2010 by suzanne.leder in Hot Coding Topics.

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A revised GA and new GX hope to clarify some of Medicare’s non-coverage policies.

At least one aspect of dealing with Advance Beneficiary Notice of Non-Coverage (ABN) forms is about to get a little simpler, thanks to two modifiers.

CMS…

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Ensure Multi-Vaccine Payment With This Coding Advice

Posted on 09. Mar, 2010 by suzanne.leder in Coding Challenge.

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You may need to append modifier 25, depending on payer policies.

Question: Our physician billed 90634, 90710, and 90606 for vaccines given to a 5-year-old patient. The insurance company denied payment and said they required a modifier. What should we

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CMS Publishes Q&As Regarding Services Previously Billed As Consults

Posted on 08. Mar, 2010 by Editor in Provider News.

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Medicare’s elimination of payment for consultation services has caused mass confusion throughout the coding community, not just due to the changes it has caused in your billing procedures, but also due to lack of information from CMS.

In an apparent…

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Achieve Modifier 25 Success in Just 3 Easy Steps

Posted on 08. Mar, 2010 by suzanne.leder in Hot Coding Topics.

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Are you a 'gold star' ASC coder?

Understand ‘significant’ and ‘separate’ to earn a gold star.

Knowing when to report modifiers and choosing the best one for each situation can be an easy trip-up for coders. If you find yourself especially befuddled…

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EM Coding: Should I Select 99211 for Most Med Checks?

Posted on 06. Mar, 2010 by suzanne.leder in Coding Challenge.

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Insurers might want to see a clear explanation as to why the E/M was necessary.

Question: An established patient with a plan of care in place for her gastroesophageal reflux disease (GERD) reports to the gastroenterologist; two weeks ago, the

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E/M Coding: Use Current Diagnosis to Support E/M Visit

Posted on 05. Mar, 2010 by suzanne.leder in Coding Challenge.

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Don’t forget to include the code for the arthrocentesis.

Question: A new patient sees the orthopedist because of shoulder problems. The physician schedules an MRI and the patient returns the following week to discuss the findings. The physician had already

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Think You Understand the New Consult Rules? Find Out Fast

Posted on 04. Mar, 2010 by suzanne.leder in Hot Coding Topics.

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Check your 2010 consultation coding savvy.

Find out if you’re set to properly code your physician’s consultation services this year by tackling three problems and their solutions.

Check With Your MAC for Guidance

When…

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Medicare Physician Pay Cut Update

Posted on 03. Mar, 2010 by Editor in Provider News.

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On Tuesday evening, the Senate passed H.R. 4691, which freezes the Medicare conversion factor at current levels through March 31.

Because of this vote, you will not face the 21% pay cut until April 1, explains Part B Insider editor,…

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Ob-gyn Coding Challenge: EM End-Result Tells You What ICD Code To Go For

Posted on 03. Mar, 2010 by suzanne.leder in Coding Challenge.

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Check out these ICD-10 ob-gyn diagnosis coding equivalents.

Question: A patient presented for an initial OB visit. Another clinic confirmed her pregnancy, but she has never received prenatal care. The patient got her usual initial OB service (i.e. lab orders),

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CMS Tells MACs to Hold Claims For 10 Days

Posted on 02. Mar, 2010 by Editor in Provider News.

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The latest on the 21 percent Medicare pay cut.

If your practice leans heavily on Medicare for reimbursement, expect your cash flow to taper off a bit.

CMS has instructed the MACs to hold claims for the first ten business…

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